| NPI | 1932440393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARI L GREEN Clinical Director 407-922-1177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH4481) |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2024-08-16 |